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General NPI Number Information
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NPI Number | 1659351567
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Entity Type | Organization
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Legal Business Name | PALMETTO MEDICAL TRANSPORT
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1160 MEADBROOK RD
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City | SPARTANBURG
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State | SC
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Zip | 29307
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Country | US
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Telephone | 864-205-3152
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1394
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City | WALTERBORO
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State | SC
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Zip | 29488
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Country | US
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Telephone | 843-549-3444
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Fax | 843-549-3474
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Authorized Official
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Title or Position | CO OWNER
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Name | DONALD E SMITH JR.
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Credential |
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Telephone | 864-579-0553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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